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Objective: Impaired glucose control & Insulin resistance are reported to be risk factors for the development of cardiovascular diseases. To find the effects of a structured exercise program on insulin resistance, glycaemic control, functional capacity, and quality of life in patients with Type 2 diabetes mellitus. Design: Randomized, controlled trial. Setting: Diabetic Foot Clinic, Department of Physiotherapy & Department of General Medicine, Kasturba Hospital in Manipal, Karnataka, India. Participants: 160 participants aged between 30–65 years with Type 2 diabetes mellitus. Intervention: A set of structured exercise programs (aerobic, resistance, and combined) along with the standard hospital care was performed 3–5 times weekly for 12 weeks. Measurements: Primary outcome measures Fasting Insulin Level, Homa-IR, Six-minute walk test (6MWT), and WHOQOL-BREF questionnaire at baseline and 12th week. Secondary outcome measures: Body composition analysis, Fasting Blood Sugar, Postprandial Blood Sugar, Glycated Haemoglobin (HbA1c), and GPAQ questionnaire at baseline and 12th week. Results: Significant differences have been observed in Homeostasis model assessment for insulin resistance (Homa-IR) (F (1, 144) = 89.29, p < 0.001); Fasting insulin (FI) (F (1, 144) = 129.10, p < 0.001); Fasting blood sugar (FBS) (F (1, 144) = 12.193, p< 0.001); Post prandial blood sugar (PPBS) (F (1, 144) = 53.015, p< 0.001); glycated haemoglobin (HbA1c) (F (1, 144) = 80.050, p < 0.001); WHOQOL-Physical health (F (1, 144) = 20.008, p< 0.001), Psychological (F (1, 144) = 77.984, p< 0.001), Social relationship (F (1, 144) = 44.866, p< 0.001); Environmental (F (1, 144) = 69.974, p< 0.001); Six minute walk test (6MWT) (F (1, 144) = 84.135, p< 0.001) in the study group when compared with the control group from baseline to 12th week. Conclusions: The study reveals that a 12-week structured exercise training program effectively reduces insulin resistance, improves quality of life, enhances functional capacity, and improves glycaemic control in type 2 diabetes mellitus. [ABSTRACT FROM AUTHOR]

Background: Specialized resisted strengthening activities to improve handwriting legibility are the process of training prewriting skills. Children can do activities of hand function. When a child develops finger strength, their hand strength also improves. These easy hand exercises can help a child develop fine motor skills and strengthen their hands. Objectives: The objective of this study was to identify the level of handwriting legibility in the control group and experimental group using the Evaluation Tool of Children's Handwriting (ETCH) Scale and to compare the effect of specialized resisted strengthening activities in the experimental group than with the control group. Study Design: This was a quasi-experimental study design. Methods: A total of 30 autism children were selected according to inclusion and exclusion criteria. The samples were split into two groups, each with 15 samples: the experimental group and the control group. The experimental group received 3 months of 12 sessions, each session of 45 min of specialized resisted strengthening activities individually whereas the control group did not receive specialized resisted strengthening activities but occupational therapy that excludes these specialized resisted strengthening activities. The pretest and posttest were assessed by the ETCH scale in both groups; the outcome of the posttest was investigated. Results: The results showed that the comparison of pretest and posttest mean scores of handwriting legibility in the experimental group was significantly effective after implementing resisted strengthening activities (P = 0.000 [significant]; 95% confidence interval CI: 71.13, 76.91). Conclusion: This study proves that specialized resisted strengthening activities can be used as an effective intervention to improve handwriting legibility in autism spectrum disorder. [ABSTRACT FROM AUTHOR]

Introduction: In a normal healthy adult, sympathetic and parasympathetic system should be in synergy. Measuring resting heart rate is a one of the methods to assess health condition. It can be affected by different factors such as exercise, mental health, any disease, etc. Normal subjects with reduced heart rate are associated with better cardiovascular health. Physical inactivity is associated with high level of inflammatory markers. Increased inflammatory markers are related to inflammation and chronic diseases. C-Reactive Protein (CRP) is a biomarker of inflammatory diseases. High CRP level is a potent risk factor for obesity, diabetes, atherosclerosis, etc. Aim: To study the effect of short-term endurance and resistance exercises in healthy young adults on resting heart rate, CRP body mass index and also to compare the changes between two exercise groups. Materials and Methods: A cross-sectional study was conducted from May 2019 to May 2020 in the Department of Physiology at King George's Medical University, Lucknow, Uttar Pradesh, India. The study included 60 healthy young subjects with normal Body Mass Index (BMI) (18.5-24.9 kg/m2) and age between 18-25 years participated. Subjects were equally divided into endurance (group I) and resistance exercise (group II) groups. Subjects did moderate intensity exercise (based on maximum heart rate) for five days in a week for eight weeks. Endurance group did jogging. Resistance group did pushup, pull-up and squats. Target heart rate during moderate intensity of activities is 64-76% of maximum heart rate. Heart rate measurement was done before the start of exercise and after five to seven minutes of exercise when it reached 64-76% of maximum heart rate. It was measured by pulse oximeter. Follow-up was done after eight weeks of exercise training in both the groups. Evaluation was done by comparing resting heart rate and CRP level before the start of training and after the completion of training programme. Statistical analysis was done using student t-test and paired t-test. Results: Mean age of subjects of group I was found to be higher (19.98±1.26 years) as compared to group II (19.97±0.98 years). Mean pre-intervention BMI of both the groups was found to be similar (21.97±1.78 kg/m2). No statistically significant change in resting heart rate was found in both resistance group (p-value=0.096) and endurance group (p-value=0.326) after exercise training. Statistically significant increase in CRP was found in resistance group (p-value<0.001) and endurance group (p-value<0.001). The increment in CRP was more in endurance group (55.04%) than resistance group (35.34%). Conclusion: Short duration of exercises increase inflammation but no significant effect on resting heart rate was seen. [ABSTRACT FROM AUTHOR]